# DR. PAUL J LICATA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1225036981
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 000413 | CT | Yes |
| 207RP1001X | Pulmonary Disease Physician | DO00565 | RI | — |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 06/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004134 | — | CT |
| 05 | — | 004242707 | — | CT |
| 05 | — | PL52716 | — | RI |